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New York rates for HCPCS J7168

Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.86 / $5.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.86 / $3.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $5.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.16 / $3.16
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.16 / $3.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $4.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.16